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Americans will still be able to buy an abortion pill after the US Supreme Court threw out a bid by campaign groups to restrict access to it.

The decision was made by the same court that two years ago overturned Roe v Wade – which had previously given women rights to terminate a pregnancy.

The drug – mifepristone – was first approved by the Food and Drug Administration (FDA) in September 2000 for medical termination up to seven weeks into pregnancy, extended to 10 weeks in 2016.

It was ruled the plaintiffs behind the lawsuit challenging mifepristone lacked the necessary legal standing to pursue the case, which required they show they have been harmed in a way that can be traced to the FDA.

The plaintiffs wanted an end to rules introduced in 2016 and 2021 that permitted medication abortions at up to 10 weeks of pregnancy instead of seven, and for mail delivery of the drug without a woman first seeing a doctor in-person.

The suit initially had sought to reverse FDA approval of mifepristone, but that aspect was thrown out by a lower court.

Mifepristone is taken with another drug called misoprostol to perform medication abortions – now the most common method of terminating pregnancies in the US.

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Read more: Why were there calls to ban abortion drug?

Anti-abortion activists outside the Supreme Court in April 2023. Pic: Reuters
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Anti-abortion activists outside the Supreme Court in April 2023. Pic: Reuters

The FDA said that after decades of use by millions of women in the US and around the world, mifepristone has proven “extremely safe” and that studies have demonstrated that “serious adverse events are exceedingly rare”.

The plaintiffs, known as the Alliance for Hippocratic Medicine, argued the FDA acted contrary to its mandate to ensure medications are safe when it eased the restrictions on mifepristone.

They also accused the administration of violating a federal law governing the actions of regulatory agencies.

US District Judge Matthew Kacsmaryk broadly sided with them in a 2023 decision that would have effectively pulled the pill off the market.

Analysis: Abortion pill decision offers some respite from complicated patchwork of laws

By Sarah Gough, US producer

Pro-choice campaigners breathed a sigh of relief following the news the Supreme Court will not limit access to medication abortion.

The fight for mifepristone was one of the latest attempts by anti-abortion groups to restrict access to reproductive rights in America following the overturn of Roe v Wade in 2022.

The pill gives much-needed access to abortion care to those who do not yet need to undergo a procedure to terminate their pregnancy. This decision means mifepristone can still be accessed over the counter and through the post with a prescription.

The drug was approved by the FDA more than 20 years ago and has been considered safe ever since. The fact its safety was ever called into question was egregious to many doctors, and women who’d taken the drug, across the country.

It was a unanimous ruling to throw this case out. Unanimous decisions are not something we usually see at the Supreme Court, given the right-wing majority sitting on the bench. However, this was a ruling about how the case was brought, not a moral opinion on whether the abortion pill is necessary or not.

Despite the win for pro-choice groups, there is constant legal wrangling across the US when it comes to abortion care.

The next most consequential upcoming case in front of the Supreme Court concerns whether emergency abortion care can be obtained in spite of abortion bans. It’s being brought out of the state of Idaho, where abortion is entirely banned with limited exceptions, and where some women who go to the emergency room with pregnancy complications are having to be airlifted to nearby states to get the care they need.

Women in restrictive states often have to act via underground methods to obtain an abortion, and doctors live in fear of making hasty, illegal decisions when it comes to reproductive healthcare. What follows is a delay in care, often for the most vulnerable.

The protection of the abortion pill provides some brief respite from a complicated and fraught patchwork of laws.

Read more on Sky News:
What’s changed since Roe v Wade decision was overturned?

However, after the FDA appealed, the New Orleans-based 5th US Circuit Court of Appeals did not go as far as Kacsmaryk but still ruled against its move to widen access to the pill.

This decision was placed on hold pending the Supreme Court’s review.

The plaintiffs said they had legal standing to sue because their member doctors would be forced to violate their consciences due to “often be called upon to treat abortion-drug complications” in emergency settings.

The Justice Department said these claims relied on an impermissibly speculative chain of events.

Following the decision, Joe Biden said in a statement: “Today’s decision does not change the fact that the fight for reproductive freedom continues.

“It does not change the fact that the Supreme Court overturned Roe v Wade two years ago, and women lost a fundamental freedom.

“It does not change the fact that the right for a woman to get the treatment she needs is imperiled if not impossible in many states.”

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Meanwhile, Mr Trump – speaking at a campaign event – acknowledged the issue had cost Republicans and that it is too important to ignore.

The presidential hopeful said it was his preference for the decision to be made by the people and individual states.

The mifepristone dispute is not the only abortion case the Supreme Court is due to decide during this presidential election year.

It also is expected to rule by the end of June on the legality of Idaho’s strict Republican-backed abortion ban that forbids terminating a pregnancy even if necessary to protect the health of a pregnant woman facing a medical emergency.

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Donald Trump responds after Elon Musk admitted ‘regrets’ over explosive row

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Donald Trump responds after Elon Musk admitted 'regrets' over explosive row

Donald Trump has responded after Elon Musk said some of his recent social media posts about the US president “went too far”.

The Tesla and SpaceX boss shared a series of posts on his X social media platform last week, including one which described Mr Trump’s sweeping tax and spending bill as a “disgusting abomination”.

He also claimed, in a since-deleted post, that the president appeared in files relating to the disgraced paedophile financier Jeffrey Epstein.

Posting on X this morning, Mr Musk said: “I regret some of my posts about President @realDonaldTrump last week. They went too far.”

In response, the president is quoted as telling the New York Post: “I thought it was very nice that he did that.”

The publication said it spoke to Mr Trump in a brief phone conversation.

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Musk and Trump’s bust-up

The White House dismissed Mr Musk’s Epstein claims at the time, with press secretary Karoline Leavitt saying: “This is an unfortunate episode from Elon, who is unhappy with the One Big Beautiful Bill [a Republican tax and spending bill] because it does not include the policies he wanted.

“The president is focused on passing this historic piece of legislation and making our country great again.”

Mr Musk did not specify which posts he regretted.

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Could the Musk-Trump fallout stall US space goals?

In another post last Thursday, Mr Musk attacked Mr Trump’s tariffs, saying they “will cause a recession in the second half of this year”.

In response, Mr Trump, in an interview with ABC News, said Mr Musk had “lost his mind”. He also threatened to cancel government contracts with the businessman’s companies and said he had asked the billionaire to leave the White House.

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Trump and Musk’s feud explained

But yesterday, Mr Musk’s father Errol Musk told Sky News’ Moscow correspondent Ivor Bennett: “It’s like any argument. Everybody at some point says I’ll never make up, but then they do later.”

He said the argument likely happened because of “emotions welling out of hand”.

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Elon’s dad on the Musk-Trump bust-up

“They’ve had five months of intense day and night, hardly any sleep, and anybody who went through that would know your nerves are pretty much shredded after that time.”

He also said his son had texted him to say: “Don’t worry, we’re sorting it out.”

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The spat hit Tesla shares, which closed down 14.3% last Thursday, losing about $150bn (£111bn) in value.

They’ve since regained much of their value compared to the beginning of the month.

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Los Angeles protests: Curfew comes into force – as California’s governor steps up his attack on Donald Trump

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Los Angeles protests: Curfew comes into force - as California's governor steps up his attack on Donald Trump

A curfew has come into force in Los Angeles as officials attempt to “stop the vandalism and stop the looting”.

Mayor Karen Bass said the restrictions will be in force in downtown areas of the city from 8pm to 6am local time (4am to 2pm UK time) – and will likely be repeated in the coming days.

She confirmed that a local emergency had been declared as “we reached a tipping point”, with 23 businesses looted on Monday night.

Ms Bass said “graffiti is everywhere”, with “significant damage” to properties as a result of the protests.

Workers try to remove graffiti after a protest over immigration raids. ICE Pic: AP/Damian Dovarganes
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Workers try to remove graffiti after a protest over immigration raids. ICE Pic: AP/Damian Dovarganes

Workers remove graffiti from the Ronald Reagan Federal Building in Santa Ana. Pic: Mindy Schauer/The Orange County Register via AP
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Workers remove graffiti from the Ronald Reagan Federal Building in Santa Ana. Pic: Mindy Schauer/The Orange County Register via AP

A protester marches past businesses being boarded up. Pic: Reuters/Leah Millis
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A protester marches past businesses being boarded up. Pic: Reuters/Leah Millis

Jim McDonnell, the chief of the Los Angeles Police Department, described the curfew as a “necessary measure to protect lives” as “unlawful and dangerous behaviour” had been escalating in the last few days.

On Tuesday alone, 197 arrests were made by the force, and he warned anyone violating the curfew without a valid reason would be detained.

Residents, people who are homeless, those travelling to and from work, credited media as well as public safety and emergency personnel, will be exempt from the curfew.

More on Los Angeles

The curfew covers a one square mile section of downtown LA that includes the area where protests have happened since Friday. The city of Los Angeles encompasses about 500 square miles.

Workers board up a store in Santa Ana. Pic: AP/Jae C. Hong
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Workers board up a store in Santa Ana. Pic: AP/Jae C. Hong

California National Guard soldiers stand at a federal agency building. Pic: AP
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California National Guard soldiers stand at a federal agency building. Pic: AP

Protesters are detained by law enforcement near the federal building in downtown LA. Pic: AP/Eric Thayer
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Protesters are detained by law enforcement near the federal building in downtown LA. Pic: AP/Eric Thayer

The protests are in response to raids carried out by the US Immigration and Customs Enforcement agency (ICE).

US President Donald Trump has activated 4,000 National Guard troops – the federal reserve force – to protect ICE officers carrying out raids as well as federal buildings in LA, despite objections by California Governor Gavin Newsom, who called the deployments unnecessary, illegal and politically motivated.

Mr Trump also sent 700 marines, who are expected to start operating in the LA area on Wednesday, according to the US Northern Command.

Read more from Sky News:
Eyewitness: Furious immigrants vow to ‘defend’ LA
What we know about the LA immigration raids and protests
Explainer: Who is Gavin Newsom?

The Ronald Reagan Federal Building and Courthouse in Santa are boarded up. Pic: Mindy Schauer/The Orange County Register via AP
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The Ronald Reagan Federal Building and Courthouse in Santa are boarded up. Pic: Mindy Schauer/The Orange County Register via AP

National Guard troops are lined up to protect a federal building in downtown LA. Pic: AP/Eric Thayer
Image:
National Guard troops are lined up to protect a federal building in downtown LA. Pic: AP/Eric Thayer

State officials said Mr Trump’s response was an extreme overreaction to mostly peaceful demonstrations, with California senators Adam Schiff and Alex Padilla saying the domestic mobilisation of active-duty military personnel should only happen “during the most extreme circumstances, and these are not them”.

Mr Trump defended his decision in a speech to soldiers at the Army base in Fort Bragg, North Carolina, saying his administration would “liberate Los Angeles”.

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Trump: ‘We will liberate Los Angeles’

“Generations of Army heroes did not shed their blood on distant shores only to watch our country be destroyed by invasion and third-world lawlessness,” Mr Trump said.

“What you’re witnessing in California is a full-blown assault on peace, on public order and on national sovereignty, carried out by rioters bearing foreign flags.”

A protester is arrested by law enforcement officers in downtown LA. Pic: AP/Eric Thayer
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A protester is arrested by law enforcement officers in downtown LA. Pic: AP/Eric Thayer

California Highway Patrol officers clash with protesters in LA. Pic: AP/Eric Thayer
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California Highway Patrol officers clash with protesters in LA. Pic: AP/Eric Thayer

Gavin Newsom launched a blistering response in an address on Tuesday evening, saying the deployment of the National Guard without consulting Californian officials was a “brazen abuse of power by a sitting president”.

He said it “enflamed a combustible situation, putting our people, our officers and even our National Guard at risk”.

“That’s when the downward spiral began. He doubled down on his dangerous National Guard deployment by fanning the flames even harder – and the president, he did it on purpose,” Mr Newsom said.

Newsom takes the fight to Trump

California Governor Gavin Newsom’s televised address to the nation felt presidential as he took the fight to the man in the Oval Office, with a series of scorching putdowns.

He made a compelling case that Donald Trump’s extraordinary decision to send troops to LA against his wishes had put the country on the brink of authoritarianism.

He spoke the day after the Pentagon announced 700 marines were being deployed to join 4,000 National Guard troops ordered to the streets of LA by Trump.

But there has been no evidence so far that local law enforcement is being overwhelmed by the size or might of this resistance movement.

The head-to-head between Trump and Newsom is a compelling one.

The governor is known to harbour presidential ambitions for 2028 and is something of a MAGA bogeyman.

Newsom presides over a blue state, the biggest in the country, and is growing his brand with a podcast and – now – Trump has effectively put him in the national spotlight by bringing this political battle to his door.

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The governor accused Mr Trump of choosing escalation and “theatrics over public safety”, as the situation was “winding down” before the president deployed the troops.

Mr Newsom added: “When Donald Trump sought blanket authority to commandeer the National Guard, he made that order apply to every state in this nation.

“This is about all of us, this is about you. California may be first, but it clearly won’t end here; other states are next. Democracy is next. Democracy is under assault before our eyes.”

A man holds a Mexican flag, which has become synonymous with solidarity for migrants targeted in the raids. Pic: AP/Damian Dovarganes
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A man holds a Mexican flag, which has become synonymous with solidarity for migrants targeted in the raids. Pic: AP/Damian Dovarganes

A protester holds up a placard while marching through downtown LA. Pic: Reuters/Leah Millis
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A protester holds up a placard while marching through downtown LA. Pic: Reuters/Leah Millis

People protest against the ongoing immigration raids in Washington, D.C. Pic: AP/Julia Demaree Nikhinson
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People protest against the ongoing immigration raids in Washington, D.C. Pic: AP/Julia Demaree Nikhinson

Homeland Security said on Monday that ICE had arrested 2,000 immigration offenders per day recently, which significantly exceeds the 311 daily average in the fiscal year 2024 under former president Joe Biden.

The protests over the immigration raids have started to spread across the US, with demonstrations in cities like Seattle, Austin, Chicago and Washington, DC.

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Is Trump ready to wage war at home?

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Is Trump ready to wage war at home?

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While chaos in Los Angeles continues, with a curfew in place in the city to prevent further unrest, Donald Trump spent the day hunkered down in a bunker with helicopters soaring above and drones buzzing by at a celebration of the US army’s birthday.

US correspondents Mark Stone in Washington DC and Martha Kelner in LA discuss the parallels between the president’s display of military celebration, and sending troops in to restore law and order against protesters.

Plus, as US and Chinese negotiators meet in London to try and resolve the ongoing trade war between the two nations, Mark and Martha ask what’s at stake.

If you’ve got a question you’d like the Trump100 team to answer, you can email it to trump100@sky.uk.

You can also watch all episodes on our YouTube channel.

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